Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.46 / $1,639.00 / $4,396.00	Facility		$149.46	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $93.73 / $280.00	Professional		$36.25	$93.73	$280.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $95.54 / $104.89	Professional		$88.77	$95.54	$104.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $99.87 / $135.88	Professional		$38.20	$99.87	$135.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $76.23 / $76.23	Facility		$76.23	$76.23	$76.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $80.05 / $140.09	Professional		$32.22	$80.05	$140.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $83.28 / $145.75	Professional		$29.73	$83.28	$145.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $44.60 / $113.57	Professional		$29.73	$44.60	$113.57
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $105.08 / $178.91	Professional		$94.15	$105.08	$178.91